Immediate Load in Units using the Indexed Prosthesis in the Sensitive System

Abstract

This clinical case report emphasizes the significant variations in implant placement systems, which denotes an emerging need for systems that minimize deviations in order to ensure implant placement at the intended bone level. The present work suggests a protocol for a simplified indexing technique using the Index Sensitive® technology (Conexão Sistema de Prothesis, São Paulo, Brazil), with the immediate placement of an implant-supported prosthesis with an indexed abutment in the implant, minimizing errors and distortions in the final result. of surgery arising from the process of making the surgical guide and the surgical procedure. The objective of this case report was to prove the efficiency of the Sleeve Index Sensitive® system in the manufacture of implant-supported prostheses in exoplan and dentalcad software prior to implant installation and to assess whether the transfer of the planning in the software to the patient's mouth is accurate. Alternative hypothesis that the Sleeve Index Sensitive® system is efficient in reproducing the indexed schedule and preserves the natural emergence profile. Patients were included with root fractures, and after previous analysis, it was proposed and the installation of dental implants of immediate loading in single units using the prosthesis indexed in the Sensitive® System. The data needed for indexing was imported into the Exoplan software, Exocad. Surgical planning was performed with the prosthetic component, Ti-Base S NP, virtually indexing the prosthesis, determining the positioning of the tooth to the implant, generating the surgical guide. The surgical guide has been incorporated into Sensitive® ferrules with a lock in a single position. Then it was exported in an STL file to be printed. The surgical plan was exported to manufacture the prosthesis. With the printed guide, milling was performed to install the Flash Vulcano implant with a diameter of 3.5 mm and height variation according to each case, distinctly.